不同方法治疗腰椎间盘突出症效果对比分析

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1、不同方法治疗腰椎间盘突出症效果对比分析宋君涛王天刚齐恒田(新乡医学院第三附属医院453000)【摘要】目的观察应用不同方法治疗腰椎间盘突出症的临床效果，提高对腰椎间盘突出症治疗的临床经验。方法将150例于2010年6月-2013年3月在我院接受治疗的腰椎间盘突出症患者随机分为对照组与观察组各75例，对照组患者通过常规开窗手术进行治疗，观察组患者则通过钉棒内固定手术治疗，对比两组手术方法的术中出血量、手术耗时以及住院天数，并且于术后应用Oswestry疼痛调查表评估患者症状的缓解与生活质量的改善情况，以及

2、手术疗效。结果观察组患者的术中出血量高于对照组、手术耗时多于对照组，但住院天数少于对照组，两组比较差异显著(P<0.05);术后2周、4周、6周患者的Oswestry评分均一定程度降低，但是观察组患者降低幅度更为显著(P<0.05);6周后观察组治疗的优良率高于对照组，分别为92.0%和77.3%,差异显著(P<0.05)o结论钉棒内固定手术治疗腰椎间盘突出症能够显著改善患者症状、降低疼痛、促进预后，从而提高患者的生活质量，值得临床推广应用。【关键词】腰椎间盘突出症钉棒内固定术开窗手术

3、效果比较【中图分类号】R687【文献标识码】A【文章编号】2095-1752(2014)04-0048-02StudyonEffectComparisonofDifferentMethodsinTreatmentofLumbarDiscHerniationJuntaoSongtiangangWanghengtianQlTheThirdAffiliatedHospitalofXinxiangMedicalUniversity【Abstract】ObjectiveToobserveclinicaleffec

4、tofdifferentmethodsintreatmentoflumbardischerniation,andimproveclinicalexperienceforthetreatmentoflumbardischerniation.Methods150caseswithlumbardischerninationinourhospitalfromJune2010toMarch2013wereselected.Patientswererandomlydividedintocontrolgroupand

5、observationgroup,75casesineachgroup.Controlgroupreceivedconventionalfenestration.Observationgroupreceivedthetreatmentofscrewandrodinternalfixationsystem.Peri-operativebleeding,operativetimeandhospitaldaysformethodsintwogroupswerecompared.Oswestrywasappli

6、edinpost-treatment.Oswestrywasusedtoevaluateremissionofsymptoms,qualityoflifeandcurativeeffect.ResultsPeri-operativebleedinginobservationgroupwashigherthancontrolgroup.Operativetimeinobservationgroupwasmorethancontrolgroup,buthospitaldaysinobservationgro

7、upwerelessthancontrolgroup.Thedifferenceisstatisticallysignificant(P<0.05)Oswestryscorefortwogroupsdroppedevenlyattwoweeks,fourweeksandsixweeks,andOswestryscoreforobservationgroupwassignificantlydecreased(P<0.05).Totaleffectiverateforobservationgroup(

8、92.0%)wasobviouslyhigherthancontrolgroup(77.3%)aftersixweeks.ConclusionCombinationtreatmentofChineseandwesternmedicineintreatmentoflumbardischerniationhasahigherclinicalvalue.Thistherapycansignificantlyimprovesymptomsofpat